Wolf, Lisa J
Wolf, Lisa J is an sole proprietor health care provider with primary practice located at 400 Patroon Creek Blvd Suite 1, Albany NY 12206-5004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wolf, Lisa J can be contacted via phone (518) 489-0044.Contact Information
Primary practice address
400 Patroon Creek Blvd Suite 1
Albany NY 12206-5004
Phone: (518) 489-0044
Fax: (518) 489-3591
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 011597 | New York |
Profile Details
NPI number | 1467422089 |
---|---|
LBN Legal business name | Wolf, Lisa J |
Credentials | PAC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 25th, 2006 |
Last updated | Jul 16th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467422089 | NPPES |
New York | Other | P01083127 | RAILROAD MEDICARE |
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